Bluegrass Rural Health Pllc | |
911 Flat Rock Rd Louisville KY 40245-4313 | |
(502) 377-8138 | |
Not Available |
Full Name | Bluegrass Rural Health Pllc |
---|---|
Speciality | Family Medicine |
Location | 911 Flat Rock Rd, Louisville, Kentucky |
Authorized Official Name and Position | Ray Charles Kennedy (MEDICAL DIRECTOR) |
Authorized Official Contact | 5023778138 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bluegrass Rural Health Pllc 911 Flat Rock Rd Louisville KY 40245-4313 Ph: (502) 377-8138 | Bluegrass Rural Health Pllc 911 Flat Rock Rd Louisville KY 40245-4313 Ph: (502) 377-8138 |
NPI Number | 1043605959 |
---|---|
Provider Enumeration Date | 03/30/2015 |
Last Update Date | 03/30/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043605959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | KY28102 (Kentucky) | Primary |
363A00000X | Physician Assistant | PA824 (Kentucky) | Secondary |
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